Blue Cross and Blue Shield of Montana prior authorization 81172

Blue Cross and Blue Shield of Montana prior authorization for 81172: Aff2 (Alf Transcription Elongation Factor 2 [Fmr2]) (Eg Fragile X Intellectual Disability 2 [Fraxe]) Gene Analysis; Characterization Of Alleles (Eg Expanded Size And Methylation Status)

Code: 81172
Description: Aff2 (Alf Transcription Elongation Factor 2 [Fmr2]) (Eg Fragile X Intellectual Disability 2 [Fraxe]) Gene Analysis; Characterization Of Alleles (Eg Expanded Size And Methylation Status)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 102 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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